Padre 2016 - First Presbyterian Church

High School
Beach Camp
South Padre Island
July 9-15
Trip Details
Travel Info:
July 9
July
-Meet at FPC at 6:00 am (YES 6:00 AM)
-will arrive Padre by 4:00pm
-students will call when we arrive and then have limited access
to their cell phones.
-Students need money for 4 travel meals
-After this all meals and expenses are covered by registration fee
-snacks and other activities are up to the individual
15
-Leave Padre around 6:00 am
-will arrive at FPC late afternoon
For more information email Josh at:
[email protected]
214-293-2011
Trip Details
Who: All current 8th graders to graduated Seniors.
We have a few spots for College age Work Crew students.
Where:
South Padre Island, TX. Housing is provided at the Travelodge Hotel.
What:
High School Beach Camp for 5 days with 500+ students from all over
the south. We will worship together with Casey Shock, hear great teaching from
Treb Praytor, dance, eat great Tex Mex, play outdoor beach games & grow closer
to Christ!
For more information email Josh at:
[email protected]
214-293-2011
FITS Padre
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underwear
socks
t-shirts
at least one long sleeve shirt or jacket - meeting room is cold
pants / jeans
money for two meals (around $7 each)
money for souvenirs
clothes
SwimSuit - appropriate attire - don’t make us have you wear a t-shirt!
Towel for beach
watch
toiletries
medicine if needed (please have your parents inform Josh if you are taking any medication)
Camera
Bible Pen
Notebook
comfortable shoes
water bottle Sunglasses
SunScreen
appropriate sleeping attire
at least one polo or nicer shirt - we are eating a nice meal at a restaurant
Athletic attire (shoes, shorts, shirts, etc...) for Volleyball, Dodgeball, Football & Basketball
As of Today,
It’s in the 90s but rainy... so check Weather.com before you start packing!!!
Special Attire:
Dodgeball
- Each
dodgeball team comes to compete in
skill and attire. Bring silly clothes to
dress up for a fun and exciting game
like the students will as well.
Youth Conference Ministries
Permission, Release & Consent Form
2016
G R OU P L E A D E R S :
Make copies of this release form for each student in your group to complete.
They MUST have their parent or legal guardian sign the following release.
Youth Conference Ministries DOES NOT provide health insurance for campers.
Attach a copy of their insurance card (if possible). 2 copies of this form are due at registration of the event (one for YCM
and one for you to keep).
Event:
Churc h Nam e: Group Leader:
Student Name (Please Print):
Address:
City, S tate, Z ip:
Birth Da te: H ome Phone:
Email Address:
Ma le
Female
Da te of Event:
Ag e:
Grad e ( Next Fall):
I Hereby give my permission for myself or my child to participate in an activity organized (herein “Event Activities”) by Youth Conference Ministries, Inc. (herein YCM). I hereby release,
hold harmless and absolve YCM, their officers, staff, sponsors, vendors, and all others who have participated in the planning, organizing and implementing of the activity, be they
individuals or organizations, singly or collectively, from responsibility and liability for any illness, injury, misadventure, harm, loss or inconvenience suffered or sustained as a result of
the participation in the activity. I understand that in the event I or my child requires medical treatment while engaged in the activity, reasonable efforts will be made to contact my
designated emergency contacts; however, if they cannot be reached, I hereby consent and give my permission to the YCM staff or any adult counselor acting on behalf of YCM with
respect to the activity, to consent to any X-ray examination, medical, dental or surgical diagnosis; treatment; and hospital care advised and supervised by a physician, surgeon or
dentist (as appropriate) licensed to practice under the laws of the state where the services are rendered, either as an outpatient or in any hospital. To the best of my knowledge, I
have listed below all my child’s medical allergies, medications being taken, medical problems and other pertinent information. I hereby represent that I have, or my child has the
experience and is physically and mentally capable to engage in Event Activities, and further represent that my child has no physical or mental limitations to prevent me or my child
from engaging in the Event Activities. Finally, I agree that YCM may tape or photograph my child and record his or her voice during their participation in the activity. I agree that YCM
will be able to use them, in whole or in part, whether in original or modified form in any manner or media, including without limitation, for the purpose of advertising, promoting,
and publicizing YCM whether during the activity or thereafter.
I hereby release and discharge Youth Conference Ministries in Chattanooga, TN and all affiliated entities from any and all claims, demands, or causes of action that I have in connection
with the use and exercise of the rights granted in this release.
If applicable, I am listing any medical problems or allergies:
Name of Insurance Company:
Policy Number:
Emergency Contact Person:
Emergency Day Number:
Signature of Parent or Legal Guardian:
Emergency Night Number:
Date:
First Presbyterian Church – Baton Rouge Liability Release Form
Participant Name
Address
Date of Birth
City
State
Zip
As a participant or parent / guardian of above minor child and participant in the programs or
events of First Presbyterian Church of the City of Baton Rouge I do hereby release, forever
discharge and hold harmless it, and its agents, employees, officers, directors, pastors, trustees,
volunteers and insurers (collectively “FPCBR”), from any and all liability, claims, or demands
for personal injury, sickness or death, as well as property damage and expenses arising at or out
of such events.
This release covers any and all transportation or drivers provided by FPCBR who are properly
licensed to drive, whether driving church owned vehicles or privately owned vehicles. This
release also covers meetings on the FPCBR property or any other site during programs and
activities.
I further consent to emergency medical or dental treatment, including examination, diagnosis,
treatment, anesthetic, and surgical treatment, agree to pay all costs and expenses associated
therewith.
Check here if you give FPCBR permission to publish and print, electronic, or video
format the likeness or image of your child. By not checking this box, you release all
claims against FPCBR with respect to copyright ownership and publication including any
claim for compensation related to use of the materials.
Participant’s Insurance
Insurance Company:
Policy Number:
Known Allergies / Medication / Medical Problems:
Name of Parent / Guardian
Address
Emergency Contact
Signature of Parent / Guardian
City
State
Zip
Phone
Date
-----------------------------------------------------------------------------------------------------------Staff Signature: ______________________________________________